Gynecological Cancer

Practical Radiation Oncology

EDU 11 - Pitfalls, Perils and Pearls: Identifying and Managing Gynecologic Treatment Toxicity

Moderator(s)

• 

  Dominique Rash, MD

  UCSD Health Radiation Medicine and Health Sciences
  La Jolla, CA

This educational session is designed to raise awareness of the toxicities associated with gynecologic radiation therapy in the setting of advanced treatment modalities including complex interstitial or hybrid brachytherapy, immunotherapy and stereotactic ablative radiotherapy. We intend to highlight the more severe or worrisome toxicities for which we have limited published data, but may arise more frequently as providers strive for durable local control in the setting of improved survival outcomes with immunotherapy. Our multidisciplinary panel of radiation oncologists, medical oncologist and a reconstructive urologist will discuss the diagnosis and management of toxicities that include and are not limited to fistulas, cervical or vaginal necrosis, vaginal stenosis, immune-related colitis and radiation colitis. Additionally our speakers will review the patient-specific and plan-specific risk factors which may predispose patients to treatment toxicity.

Presentations:

• 4:45 PM – 4:47 PM ET

  Introductions
  

  Speaker: Dominique Rash, MD – UCSD Health Radiation Medicine and Health Sciences
• 4:47 PM – 5:02 PM ET

  Immunotherapy Related Toxicity in the Setting of Pelvic Radiation
  

  Speaker: Ying Liu, MD, MPH – Memorial Sloan Kettering Cancer Center
• 5:02 PM – 5:17 PM ET

  Pelvic SBRT Toxicity With or Without Reirradiation
  

  Speaker: Shraddha Dalwadi, MD, MBA, BS – University of Texas Health Science Center at San Antonio
• 5:17 PM – 5:32 PM ET

  Treatment Toxicity and Management of Complex Brachytherapy for Advanced Tumors
  

  Speaker: Supriya Chopra, MD – Tata Memorial Centre
• 5:32 PM – 5:47 PM ET

  Surgical Management of Fistulas and Other Complications in an Irradiated Pelvis
  

  Speaker: Andrew Peterson, MD, MPH – Duke University Hospital
• 5:47 PM – 6:00 PM ET

  Questions and Answers
  

  Speaker: Dominique Rash, MD – UCSD Health Radiation Medicine and Health Sciences